Douglas County Sheriff's Office Colorado Online Instructor Verification Application

Welcome! This is an official application for a Verified CHP Instructor Application. It is a crime in Colorado to falsify this official document under Colorado Revised Statue 18-5-102. This type of crime is a class 5 felony. The penalty for committing this crime can include fines up to $100,000, and up to 3 years in prison. Those convicted of a felony cannot possess firearms in most cases. It is important the information provided on this document as enclosures submitted with this document are factual and accurate.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Suffix: ^{(jr, sr, etc.)}

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth Country:

Birth City:

Birth State:

Demographic Information:

Gender:

Male

Female

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

County:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Spouse Residence Address:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Attach Documentation:

To upload documentation, please use the button below to begin the process. Please scan each document individually. The maximum size of individual files is 5 MB.

You MUST upload the following (failure to do so will potentially delay the processing of your application) :

A valid Colorado driver's license or ID and Other identification documents
A valid Colorado concealed handgun permit
Proof of Instructor certification from an acceptable organization pursuant to
C.R.S. 18-12-202.7(2)(b)
A copy of course curriculum for concealed handgun training class and/or renewal refresher class (any courses offered)
A copy of the “Instructor Certification of Compliance with Statutory Instruction
Requirements”
A copy of the training certificate(s) you will issue

Uploaded Files:

Add files...

Please select a document type then, click on the “Attach” button to complete the upload process.

Select Your Application Type:

Initial Instructor Verification

Total Fee:

$0

I attest that the information provided on this application is true and correct.

Please enter your e-Signature

Your Initials:

For security purposes, we logged your IP Address: 216.73.217.95, 104.23.243.8:36519, 40.1.3.221

Required signature

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

You are expected to be checked in at the Douglas County Sheriff's Office Administration building located at 1331 N Cherokee St. Castle Rock, CO. 80109 at the time of your scheduled appointment. If you are more than 15 minutes late to your scheduled appointment you will NOT be seen and you will be asked to reschedule your appointment. Your appointment will be marked as a no-show appointment and you will be prompted to reschedule using Permitium. You will log into your Permitium account through your confirmation email using your order number and password that you had created at the time of making your original appointment. Once there you will be able to select from the available appointments.

I attest that the information provided on this application is true and correct.

Coupon Code:

Your Initials:

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Douglas County Sheriff's Office Colorado

CHP Instructor Verification Application Please Enter All Information

Please read the following before proceeding:

Applicant Information:

Previous Aliases: ^{(please list all previous aliases)}

Information Related To Your Birth:

Select Appropriate Immigrant Classification: ^{(only choose one)}

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Demographic Information:

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Spouse Residence Address:

Attach Documentation:

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Please enter your e-Signature

Application Qualification Questions:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

CHP Instructor Verification Application Please Enter All Information

Add An Address

Add a reference

Update a reference

Please read the following before proceeding:

Applicant Information:

Previous Aliases: (please list all previous aliases)

Information Related To Your Birth:

Select Appropriate Immigrant Classification: (only choose one)

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Demographic Information:

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Spouse Residence Address:

Attach Documentation:

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Please enter your e-Signature

Application Qualification Questions:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Your signature is required.

Error processing application

Error processing application

You must be a US Citizen

Required field missing

Required field missing

Permit Expired

Permit Expired

Permit Expired

No Appointments Available

Permit Expires Soon

Permit Expired

Credit Card Payment Required

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Previous Aliases: ^{(please list all previous aliases)}

Select Appropriate Immigrant Classification: ^{(only choose one)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}